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Holistic

answer

an adjective to describe care of the whole person, physically and emotionally.

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Mission

answer

the officially stated purpose of a health care facility or organization

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Hospital

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a healthcare facility that provides treatment for people with acute medical or surgical conditions.

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Acute Care Setting

answer

a place where healthcare is provided for people who require a high level of care, severe illness or medically unstable.

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Patients

answer

a person who is receiving health care in a hospital, clinic or extended care facility,

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Sub Acute Care Unit /Skilled Nursing Unit /Skilled Nursing Facility

answer

a unit within a hospital or a long term care facility, or a separate facility that provides care focused on rehab and helping the patient to move from hospital care to home care.

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Long Term Care Facility/Nursing Home

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a health care facility that provides care for people who are unable to care for themselves at home, yet do not need to be hospitalized.

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Residents

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a person who is living in a long term care facility or assisted-living facility.

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Assisted Living Facility

answer

type of long term care facility that provides residents with limited assistance with tasks such as medication, transportation, meals and housekeeping.

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Home Health Care Agency

answer

an agency that provides skilled care in a persons home.

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Clients

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a person who is receiving the services of a home health care agency.

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Hospice Organization

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a healthcare organization that provides care for people who are dying and their families.

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Health Care Team

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a group of people with different types of knowledge and skill levels who work together to provide holistic care to the patient or the resident.

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United States Department of Health and Human Services (DHHS)

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the primary government agency responsible for protecting this nations health, includes organizations such as Food & Drug Administration (FDA), Centers for Disease Control and Prevention (CDC), the National Institutes of Health (NIH) and the Centers for Medicare and Medicaid Services (CMS).

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Omnibus Budget Reconciliation Act (OBRA)

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an act passed in 1987 to improve the quality of life for people who live in long term care facilities by making sure that residents receive a certain standard of care.

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The Joint Commission

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an independent, non-profit organization that sets national standards for all types of health care organizations and officially recognizes organizations that meet these standards.

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Accreditation

answer

official recognition that an organization meets certain standards of quality.

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Survey

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an inspection of a nursing home carried out by the government to ensure that care is being provided according to standards and regulations.

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Occupational Safety and Health Administration (OSHA)

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an agency in the Department of Labor that establishes safety and health standards for the workplace to protect the safety of the employees.

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Group Insurance

answer

an insurance that is purchased at a group rate by an employer or corporation.

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Precertification (Preapproval) Process

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a system for controlling health care costs in which the healthcare provider must prove that a person's medical condition meets certain criteria and obtain the insurance company's go-ahead for the proposed treatment before starting treatment.

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Managed care system

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a system designed to control health care costs by delivering health care to people who need it by arranging contracts with various health care providers; PPO's and HMO's.

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Preferred Provider Organization (PPO)

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a managed care system that contracts with an insurance company to accept a standard payment as total payment for services rendered: in return for seeking care only from health care providers who are part of the PPO network, the insured person usually receives that care at a reduced cost to herself.

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Health Maintenance Organization (HMO)

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a managed care system that contracts with health care providers to provide health care services for a prepaid fee, and people seeking care agree to see only health care providers who are part of the HMO network.

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Medicare

answer

a type of insurance plan that is federally funded by Social Security and which all people 65 years or older, and some younger disabled people, are eligible to participate in.

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Minimum Data Set (MDS)

answer

a report that focuses on the degree of assistance or skilled care that each resident needs.

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Diagnosis Related Groups (DRGs)

answer

a system for controlling health care costs in which the length of a person's hospital stay, as well as payment for hospitalization, surgery, or other treatment is specified according to the person's diagnosis.

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Medicaid

answer

a federally funded and state regulated plan designed to help people with low incomes to pay for health care.

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Competency Evaluation

answer

an exam consisting of a written portion and a skills portion that be passed at the end of the nursing assistant training course to obtain certification.

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Registry

answer

an official record of people who have successfully completed the nursing assistant training program

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Reciprocity

answer

the principle by which one state recognizes the validity of a license or certification granted by another state

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Licensed Practical Nurse(LPN) or Licensed Vocational Nurse (LVN)

answer

a specially trained person who is licensed by the state to provide routine care for the sick under the supervision of an RN. Completes a 1-2 year program in vocational school, community college or hospital.

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Registered Nurse (RN)

answer

a specially trained person who is licensed by the state to develop nursing care plans and coordinate all aspect of patients or resident care, as well as to provide that care; holds a baccalaureate degree from a liberal arts college or university (4 yrs) or an associates degree from a junior or community college ( 2 yrs)

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Charge Nurse

answer

a RN, LPN or LVN who supervises the nursing assistants & may supervise another nurse for a particular shift

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Unit Manager/Head Nurse

answer

A RN who is in charge of a department or section & supervises the Charge Nurse and has 24 hr a day responsibility for the operation of the floor or section

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Shift Supervisor

answer

May have some limited responsibilities as the Unit Manager for an assigned shift (instead of 24 hr a day responsibility)

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Director of Nursing (DON)

answer

RN who directs all of the nursing care within the facility & overall operation of entire nursing dept, hires & manages nursing staff, ensuring quality &regulatory standards of nursing care provided

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Certified Registered Nurse Practitioner (CRNP)

answer

RN that has completed additional training for licensure in advanced practice; perform advanced health assessments, interpret lab results,managed & treat selected medical conditions,write orders for diagnostic tests or meds

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Primary Nursing

answer

a model for organizing the nursing team efforts in which one nurse is assigned several patients or residents, and is responsible for planning and carrying out all aspects of care for those people

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Functional (modular) nursing

answer

a model for organizing the nursing teams efforts in which each member of the nursing team carries out the same assigned task for all patients or residents.

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Team Nursing

answer

a model for organizing the nursing teams efforts in which one RN (team leader) determines all the care/needs for the patients and then assigns tasks according to each team members skills and level of responsibility.

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Patient-centered or patient focused care

answer

cross functional teams consisting of groups of professionals and assistive personnel that work together as a unit based team to provide care to a given group of patients.

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Delegate

answer

to authorize another person to perform a task on your behalf

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Scope of practice

answer

the range of tasks that a nursing assistant is legally permitted to do

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Five rights of delegation

answer

a set of guidelines that help nurses to make good decision about which tasks to delegate and to whom

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Aides

answer

Early nursing assistants

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Professional

answer

a person who has credentials, obtained through education and training, that enable him or her to become licensed or certified to practice a certain profession.

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Professionalism

answer

the attitude of being a professional, characterized by a positive outlook and a commitment to doing one's best at all times.

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Attitude

answer

is the side of ourselves that we display to the world, communicating outwardly how we feel about things.

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Work Ethic

answer

can be described in many ways and measured by any number of standards, but simply put, it relates specifically to your attitude toward your work & professionalism

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Hygiene

answer

Cleanliness

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Empathy

answer

means that you are able to try and imagine what it would feel like to be in another person's situation.

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Resume

answer

a brief document that gives a possible employer general information about you and your education and work experience.

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Equal Employment Opportunity Commission

answer

a government agency that says it is illegal during the hiring process for an employer to ask a candidate questions related to age, marital status, weight, religion, sexual preference, and plans to have children at any time.

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Reference List

answer

a list of at least 3 to 4 people who would be willing to talk to a potential employer about a job candidates abilities.

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Human Resources (HR)

answer

the department within an organization that is concerned with matters related to employers; often responsible for hiring new hires. Some facilities the DON is responsible for hiring.

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Interview

answer

is the chance for a potential employer to meet you personally and learn more about you in an effort to determine if you are the right person for the job.

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Decision Making Capacity

answer

is the ability to make a thoughtful decision based on an understanding of the potential risks and benefits of taking a certain course of action.

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Advance Directives

answer

is a document that allows a person to maker her wishes regarding health care known to family members and health care workers, in case the time comes when she is no longer able to make those wishes known herself.

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Durable Power of Attorney For Health Care

answer

transfers the responsibility for making medical decisions on the person's behalf to a family member, friend, or other trusted individual.

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Health Care Agent

answer

the person who is responsible for making decisions on the person's behalf.

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Living Will

answer

another type of advance directive that allows the person to give instructions about what medical treatments can be done to save ones life.

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Laws

answer

rules that are made by controlling authority, such as state or federal government.

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Civil Laws

answer

are concerned with relationships between individuals.

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Criminal Laws

answer

are concerned with relationship between the individual and society as a whole.

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Litigation

answer

the lawsuit or legal action, taken against a person who is accused of breaking a law.

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Liability

answer

the responsibility of a person to act within the confines of a law.

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Tort

answer

a violation of civil law

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Unintentional Tort

answer

a violation of civil law that occurs when someone causes harm or injury to another person or that person's property without intent cause harm.

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Negligent

answer

adjective used to describe a person who fails to do what a "Careful and reasonable" person would do in any given situation

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Malpractice

answer

negligence committed by people who hold licenses to practice their profession, such as doctors, nurses, lawyers, dentists and pharmacists.

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Intentional Tort

answer

a violation of civil law committed by a person with the intent to do harm.

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Defamation

answer

is making untrue statements that hurt another person's reputation.

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Slander

answer

untrue statements in oral form

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Libel

answer

untrue statements in written form

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Assault

answer

is threatening or attempting to touch a person without consent, causing that person to fear bodily harm.

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Battery

answer

is touching a person without his or her consent.

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Informed Consent

answer

implies that a person has been informed of the need for the procedure or treatment, and that they have given their permission to the health care provider to perform the procedure or administer the treatment.

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Fraud

answer

deception that could cause harm to another person.

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False Imprisonment

answer

is confining another person against his or her will.

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Invasion of Privacy

answer

violating another person's right to keep certain information and aspects of themselves away from the examination of others.

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Confidentiality

answer

means keeping personal information that someone shares with you to yourself. (spoken, written and observed)

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Health Insurance Portability and Accountability Act (HIPPA)

answer

originated in 1996, federal privacy regulations that helps to keep personal information about patients and residents private.

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Larceny

answer

stealing

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Abuse

answer

the repetitive and deliberate infliction of injury on another person, is a criminal act, and is punishable by a court of law.

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Vulnerable Adult

answer

A person who is 18 yrs old who may be in need of community care services because of mental or other disability, an illness, or is at an age (elderly) that causes him to be unable to care for or protect himself against significant harm or exploitation

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Physical Abuse

answer

hitting, slapping, pushing, shoving, pinching, kicking, shaking, burning, force feeding, inappropriate use of restraints and medications.

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Neglect

answer

failing to provide food, water, clothing, shelter, medications, hygiene and toileting needs, or abandonment.

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Abandonment

answer

the act of withdrawing support or help from another person, in spite of duty or responsibility

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Psychological (Emotional) Abuse

answer

insulting or threatening a person, bullying, humiliating, harassing, treating a person undignified, the silent treatment and isolating the person from others.

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Sexual Abuse

answer

touching personal body parts in an inappropriate way , making inappropriate and sexually suggestive comments or gestures, forced nudity, inappropriate photos or rape.

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Financial Abuse

answer

stealing money or belongings, withholding a person's Social Security checks or other sources of income, making withdraws from a bank account or cashing checks without the person's permission, forging the person's signature on checks or legal documents, tricking or black mailing a person to give away money or property, or signing legal documents or making changes to a legal document.

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Elder Abuse

answer

is the abuse of an elder person

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Ethics

answer

code of ethics for nursing assistants falls the American Nurses Association.

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Beneficence

answer

do good for those in your care by preventing harm and promoting the health and welfare of the person above all else.

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Nonmalficence

answer

Avoid harming those in your care. Use kindness and gentleness when administering care.

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Justice

answer

treat people fairly and equally, regardless of race, religion, culture, disability or ability to pay.

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Fidelity

answer

an ethical principle that requires health care workers to act with integrity to earn others' trust

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Autonomy

answer

respect a person's right and personal preferences.

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Value

answer

cherished belief or principle

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Communication

answer

the exchange of information

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Verbal Communication

answer

a way of communicating that uses written or spoken language also sign language

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Nonverbal Communitcation

answer

a way of communicating that uses facial expressions, gestures, and body language instead of written or spoken language

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Conflict

answer

or discord, resulting from differences between people, can occur when one person is unable to understand or accept another's ideas or beliefs.

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Observation

answer

something that you notice about the patient or resident typically related to a change in the person's physical or mental condition.

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Objective Data

answer

information that you obtain directly, through measurements or by using one of your five senses (sight, smell, touch and hearing)

question

Signs

answer

objective observations

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Subjective Data

answer

information that cannot be objectively measured or assessed

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Symptoms

answer

subjective observations (ex. pt. complains of pain)

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Reporting

answer

the spoken exchange of information between health care team members.

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Recording

answer

communicating information about a patient or resident to other health care team members in written form (charting)

question

Medical Record

answer

a legal document where information about the patient or resident current condition, the measures that have been taken by the medical and nursing staff to diagnose and treat the condition, and the patients or residents response to such treatments

question

Electronic Health Record (EHR)

answer

Computer information system that stores and saves a persons medical information

question

Kardex

answer

a card file that contains condensed versions of each patients or residents medical records

question

Interdisciplinary Care Plan

answer

a specific plan of care for each patient or resident developed with the input from all members of the health care team..

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Nursing Care Plan

answer

a specific plan of care for each patient or resident developed by the nursing team

question

Nursing Process

answer

a process that allows members of the nursing team to communicate with each other regarding the patient or residents specific needs, what steps will be taken to meet those needs, and whether the steps were effective in meeting the persons needs, consists of 5 parts, assessment, diagnosis, planning, implementation and evaluation.

question

Nursing Diagnosis

answer

a statement that describes a problem the person is having that can be identified and treated by the nursing staff independently

question

Interventions

answer

actions that are taken by the nursing team to help the patient or resident

question

Goals

answer

descriptions of what nursing interventions are meant to achieve

question

Unit

answer

Patients room

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Hopper

answer

a sink like fixture that flushes like a toilet and is connected to a sewer line;used for bedpans,soiled linens and bodily fluids such as drainage emptied from a wound drainage device

question

Ventilation System

answer

provides fresh air and keeps air circulating

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General Lightning

answer

a ceiling light fixture can provide illumination;natural light from the windows

question

Task Lighting

answer

an over head light (moveable) fixture that directs bright light toward a specific area

question

Gatches

answer

adjustable beds have these joints >(gatches) at the hips and knees which allow the mattress to "break" or bend

question

Trendelenburg's Position

answer

When the foot of the mattress is raised so that the person's head is lower than their feet; used when a patient is in shock & has a very low blood pressure; to encourage blood flow to the heart

question

Reverse Trendelenburg's Position

answer

When the head of the mattress is higher than their feet; used when spinal cord or back is injured

question

Over-Bed Table

answer

"the clean area";table which fits over a bed or a chair & can be raised or lowered as needed; used to hold basins,personal care items,pitcher of water, writing letters and eating meals. Anything the patient wants to keep close

question

Call Light System

answer

used to alert staff when patient in need of assistance; usually equipped with an intercom where the nurses station can communicate with the patient

Acute Care in a Hospital Setting: A Holistic Mission

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